Re: QA Question

[newton@unm.edu]

Dan,
  Our flight program uses three broad criteria when evaluating RSI and 
Intubations:  Indications, technique, and documentation.  Items such as 
scene time, ETT confirmation, choice/doses of meds, etc. would all be 
included in the technique portion.  Reviewing documentation includes 
evaluating whether the chart is defensible, concise, coherant, and 
contains the required pertainent information.  When we evaluate 
indications, we consider patient condition, flight time, 
contraindications, etc.  In our system, we work with EMS providers of 
all skill and experience levels, in addition, many of our sending 
physicians are extremely reluctant to perform RSI/Intubations due to 
lack of local resources or personal comfort (hard to imagine in this 
day and age).  Indications for RSI/intubation are sometimes heavily 
scrutinized when it occurs during an interfacility transport.  I hope 
that this is helpful.  Good luck.

Andrew Bartkus, RN, BSN, CEN, CCRN, CFRN, NREMT-P
University of New Mexico Hospital Lifeguard 


Quoting DSmith417@aol.com:

> 
> I'm in the process of revising our programs QA for RSI cases. 
> Currently we are able to tract intubation success, drug
> administration as per protocol, age, scene time, ETT confirmation
> with use of capnography.
> Am I leaving anything out?
> Please let me know.
> Thanks
> Dan Smith
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